- Elevance Health (Tampa, FL)
- ** Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... complete the assessment within 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible for performing care… more
- ICW Group (Orlando, FL)
- …perform clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and ... reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial,...unrestricted Registered Nurse (RN) or Licensed Vocational Nurse (LVN) required. Certification in case management,… more
- Crawford & Company (FL)
- …* License and national certification reimbursement + This is a work from home telephonic case management position! + No Travel involved! + RN is required! ... + Compact licensure and an advanced Nurse case Management certification (ex: CCM, COHN,...and one of the below: + Certification as a case manager from the URAC-approved list of… more
- Sedgwick Government Solutions (Orlando, FL)
- …you like to be part of a highly skilled team of home-based ** Nurse Case Manager (NCM)s** providing telephonic case management, focused on supporting ... Job Details Nurse Case Manager (Remote - Strong Internal) 2025-1387 Orlando, FL, USA Medical Case Management Full Time Description Nurse Case … more
- ERP International (Tyndall AFB, FL)
- **Overview** ERP International is seeking a full time **Registered Nurse (RN) Case Manager ** in support of the Wounded Warrior program at the 325th Medical ... the following: + Participate in all phases of the Case Management Program (CMP) and ensure that the CMP...and implement local strategies using inpatient, outpatient, onsite and telephonic CM + Develop and implement tools to support… more
- ChenMed (St. Petersburg, FL)
- …possession and maintenance of a current, valid driver's license. + Certified Case Manager certification is preferred. Certification through the Commission for ... need great people to join our team. The Register Nurse (RN) Community Care Nurse will serve... Case Manager Certification (CCMC) or the American… more
- Molina Healthcare (St. Petersburg, FL)
- …Suite, organized and analytical thinking . Medicare knowledge/experience is highly preferred. The Case Manager must be able to work in a high-volume environment. ... to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- Molina Healthcare (FL)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... to address the member needs and goals. * Conducts telephonic , face-to-face or home visits as required. * Performs...**O** **C** **I** **A** **TI** **O** **N** **:** Certified Case Manager (CCM), **PHY** **S** **I** **C**… more
- Always Best Care Senior Services (Hobe Sound, FL)
- POSITION: Managing Registered Nurse SUPERVISOR: Administrator STATUS: Exempt POSITION REQUIREMENTS: The Registered Nurse (MRN) is responsible for the service ... for each client admitted to the Agency. * Provide case management of specifically assigned clients as per Agency...or as vacancies occur, assist the Administrator and Operations Manager in recruiting personnel, as needed. * Participate on… more
- Sharecare (Tallahassee, FL)
- …Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. +… more
- Elevance Health (Tampa, FL)
- …in the Internal Appeal Process. + Responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract;...care across the care continuum. + Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation,… more